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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000359

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Byron MilfordRipley Sex Male

Date of Birth July 12, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father Laun M. Ripley MAIDEN NAME of Mother Agnes Ferguson

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born Sydney, Cape Breton Co., NS Present address of Father 18 McVicar Street, Glace Bay, Cape Breton Co., NS

Occupation of Father at Birth of child Insurance Salesman Place of birth of Father Sheet Harbour, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Laun M. Ripley Address of Applicant 18 McVicar Street, Glace Bay, Cape Breton Co., NS Date 8 September 1971

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Byron MilfordRipley

Born at Sydney in the County of Cape Breton

That Byron MilfordRipley Whose Birth is sought to be registered was

born at Sydney Cape Breton County on July 12, 1924

My knowledge of the fact and date of such Birth is based on the following Circumstances:

1. Own personal knowledge as father 2. School certificate enclosed

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